Business / Organisation:
State / province:
ZIP / Postal code:
Account type you're signing up for:
Standard account, $10 per month
FTP account, $5 per month
Business account, $20 per month
I like to pay:
monthly every 3 months every 6 months once a year
You can pick your own username and password for
your account. These will be used for logging in to your account to
upload your pages etc. Please pick a password that is not trivial and
at least 5 characters long.
If you like, you can register a domain name to
go with your account. The cost for this is $15 per year.
You can register a domain for up to 10 years.
Please note that you can only register .com, .net, .org, .biz, .info and .name domain names using this form. Other top level domain names might be available at a different price. If you are interested it this, please enquire seperately.
By default the domain is registered to the same name as the one you
are using to sign up for with your account. If you like to register
the name to another name or address, you can make note of this in the
"comment" section below.
Existing domain names can also be put under your account. No
additional charges are applied for this. We'll contact you about how
to best faciliate for the changes that will have to be made to your
domain name registration
Yes, I'd like to have a domain name to go with this account.
Register it for a period of:
1 year ($15)
Existing domain registration
1 year ($15)
2 years ($30)
3 years ($45)
4 years ($60)
5 years ($75)
6 years ($90)
7 years ($105)
8 years ($120)
9 years ($135)
10 years ($150)
Comments, questions and other notes you can put here:
If you were referred by someone else to Web Conquest, you can
put their name and account name here and they'll receive a 10% bonus
on the hosting services you acquire from us.
I like to receive the Web Conquest newsletter and updates delivered te the email address given above.
I have read the service contract and agree to abide to all rules and conditions made in it.